Individual
MATTHEW ISIDORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 SAMUEL BARNET BLVD, NEW BEDFORD, MA 02745-1214
(508) 995-3251
(508) 995-3252
Mailing address
PO BOX 813, WESTPORT, MA 02790-0698
(508) 995-3251
(508) 995-3252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S88929276
MA
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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